Evergreen Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014674 Issued in TX

Legal business name

EVERGREEN HEALTHCARE SERVICES, INC.

Practice address

9788 Clarewood Drive
Suite 206
Houston, TX 77036-5141

Phone

(713) 777-1991

Fax

(713) 777-1980

NPI assigned

Jul 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dolores Estacio CuNPI 1639930373

Title

Administrator / Cfo

Phone

(713) 777-1991

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolores Estacio Cu

  • Personal Care Attendant
  • Houston, TX
  • NPI 1639930373
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1215192117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 CLAREWOOD DRIVE",
            "address_2": "SUITE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365141",
            "telephone_number": "713-777-1991",
            "fax_number": "713-777-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 CLAREWOOD DRIVE",
            "address_2": "SUITE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365141",
            "telephone_number": "713-777-1991",
            "fax_number": "713-777-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "CU",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "ESTACIO",
        "authorized_official_title_or_position": "ADMINISTRATOR / CFO",
        "authorized_official_telephone_number": "713-777-1991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012096",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014674",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTRACT",
            "identifier": "001025442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sujata Everett
• Tonya Marie Everett
• Tarren Everette, CD
• Everettt L Hyman Odpc
• Evergreen Dermatology Group PLLC (Evergreen Dermatology)
• Evergreen Personal Care
• Evergreen Physiatry, PLLC
• Shlermine Aupont Everidge, MD
• Amanda Willis Everitt, APRN
• Mark David Everitt, ACNP

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.